Dejene Fenta Abetew, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

MDCE.ML.61438135 Issued in WA

Practice address

3020 S Union Ave
Tacoma, WA 98409-3317

Phone

(253) 844-4327

NPI assigned

Jun 2, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evergreen Washington Healthcare Greenwood, L.L.C.

  • Skilled Nursing Facility
  • Bellevue, WA
  • NPI 1932157641
  NPD (past)
• Mission Healthcare at Bellevue, Joint Venture

  • Skilled Nursing Facility
  • Bellevue, WA
  • NPI 1730189440
  NPD (past)
• Renton SNF Healthcare LLC

  • Skilled Nursing Facility
  • Renton, WA
  • NPI 1942029350
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1316631450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 PACIFIC AVE STE 600",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024437",
            "telephone_number": "253-844-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984093317",
            "telephone_number": "253-844-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABETEW",
        "first_name": "DEJENE",
        "middle_name": "FENTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MDCE.ML.61438135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asif Abdullah, M.D.
• Deon Abdullah, LMT
• Wubalem Assefa Abebe
• Parvin Abedi, DDS
• Bruce Abelson
• Hanot Abioye
• Hanaa Ali Abou Ouf, M.D.
• Hannah Elsa Abraham
• Passia Abraham
• Gabrielle Abrahamsen, DPT

• Geriatric Medicine (Family Medicine) Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Geriatric Medicine (Family Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.